Get the FISH Rennid Evissergorp - The Presbyterian Church of Toms River -

Description of 2013
FISH Rennid Evissergorp Our Annual Progressive Dinner experienced in our own unique wacky way backwards Wednesday April 3 2013 7 00 PM to 9 00 PM Beginning at PCTR in Fellowship Hall Come join us for a night of great food fun and fellowship Parental Consent Release Form for the Rennid Evissergorp Name Phone Address In signing this form I hereby give permission for my child to participate in The Presbyterian...
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2013

FISH Rennid Evissergorp Our Annual Progressive Dinner experienced in our own unique wacky way backwards Wednesday April 3 2013 7 00 PM to 9 00 PM Beginning at PCTR in

rennid

Fellowship Hall Come join us for a night of great food fun and fellowship Parental Consent Release Form for the Rennid Evissergorp Name Phone Address In signing this form I hereby

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give permission for my child to participate in The Presbyterian Church of Toms River s Rennid Evissergorp April 3 2013. I also grant permission for my child to be transported in

pctr

privately owned or rented vehicles. Further I will not hold the church staff nor youth leaders nor any of its representatives or trustees responsible for any injuries sustained during the course

alt

of activities during this trip. In case of medical emergency I understand that every effort will be made to contact the parents for guardian of the young person. In event that

herein

I cannot be reached I hereby give permission to the physician selected by the staff or person designated by the staff to administer hospital/surgery/treatment for my child as named herein. Family

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Health Insurance Company Policy Number Signature Date Alt. Tel. signature of parent or guardian Any medical or other health related problems that we should be aware of.

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